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About the Guidelines. Based on the Ohio Department of Public Safety's 2nd Edition (2001)Piloted in Alameda and San Diego County schoolsReviewed by California Office of Education and California School Nurses OrganizationReviewed by the EMSC Technical Advisory CommitteeReviewed by the EMSC CoordinatorsApproved by EMS Commission (2004).
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1. Emergency First Aid Guidelines for California Schools An Overview of Content
And How to Use
3. Purpose To serve as a basic “what to do in an emergency” for school staff with or without medical training.
The guidelines were created as a recommended procedure. Contact your school nurse if you have any questions about the guidelines.
In a true emergency situation use your best judgment.
4. It is strongly recommended… …that staff who are in a position to provide first-aid to students complete an approved first-aid and CPR course.
…that you familiarize yourself with the format of the guidelines prior to the actual emergency situation.
…that you use the guidelines for reference before, during and/or after an event.
5. What do the Guidelines address? Emergency procedures
When to call 9-1-1
Basic information on infection control
Information on emergency planning
Planning for persons with special needs
Recommended first-aid equipment
Emergency phone numbers
6. The Design Alphabetical order with tabs
Flow charts guide you through decision steps to treat common illnesses and injuries
Flow charts use color-coded shapes to clarify steps
7. Key to Shapes and Colors
8. Key to Shapes and Colors
9. Key to Shapes and Colors
10. Key to Shapes and Colors
11. Don’t Delay 9-1-1 When Needed Have someone contact the 911 system, as soon as possible, after it is known that their assistance is needed. Delay in accessing the 911 system could result in worsening of a person’s condition and may lead to additional injury.
12. Direct Fire/Ambulance Have someone meet fire or ambulance response units
Give directions to location of person.
13. Always Remember ABCs Airway – Open the airway – 1st
No Air in, all else is lost.
Breathing – Ensure Breathing – 2nd
You may need to breath for the person or do CPR
Circulation (i.e., bleeding) – 3rd
Heart beating or CPR – Nothing else matters
Control Bleeding – Prevent the loss of blood
14. Call 9-1-1 For: Blocked Airway
Unable to get air into lungs (i.e., choking)
Difficulty Breathing
Absent or labored breathing
Wheezing due to an allergic reaction (i.e., after a bee sting)
Near drowning – even if awake and appears ok water can have a delayed effect on lungs
15. Call 9-1-1 for Uncontrollable Bleeding – you can’t stop it
Unconsciousness
After any injury
If person has history of Diabetes
Unexplained reason
Head Injury
Possible Poisoning
16. Call 9-1-1 Immediately GET ADVANCED MEDICAL HELP ASAP
Answer Questions
Follow Instructions
Do Not Hang Up
Stay Calm
Provide First Aid until ambulance arrives
20. Which One First? Scenario
Child falls from bleachers
Dirty, abrasions
Bleeding scalp
Unconscious, then awakes
Remember ABC’s
Unconscious due to injury – call 911
Is awake, therefore airway open & breathing
Bleeding, See “Bleeding” apply direct pressure
Abrasions, See “Cuts, Scratches & Scraps”
21. Ready to Try One?
22. Try this One Child is holding hand and tells teacher he was bitten by a dog. There is some blood oozing from several small punctures/scrapes. Child otherwise is crying and looks normal.
30. Implementing the Guidelines Review the Guidelines in advance
Write down your local emergency phone numbers
Make available to all who might use
Provide training to staff in health office
Encourage all school staff to take 1st Aid and CPR training.
Check with school nurse or designated first aid person and local policies.